| NPI | 1972389948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F08230704) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-22 |